. A treatise on dislocations and fractures of the joints. t unfortunately failed. He took ten grains of tartaremetic in divided doses, was put in a hot bath, and bled to syncope ;the compound pulleys and jack towel were applied, very powerfulextension was made, and at the moment when we flattered ourselvesthat the muscles were about to give way, the door-post came down towhich the hook was screwed ; and, as might be expected, our patientwould not submit to another trial, nor will he ever be persuaded. SECTION III. DISLOCATION FORWARDS, UNDER THE CLAVICLE. Symptoms.—This species of dislocation
. A treatise on dislocations and fractures of the joints. t unfortunately failed. He took ten grains of tartaremetic in divided doses, was put in a hot bath, and bled to syncope ;the compound pulleys and jack towel were applied, very powerfulextension was made, and at the moment when we flattered ourselvesthat the muscles were about to give way, the door-post came down towhich the hook was screwed ; and, as might be expected, our patientwould not submit to another trial, nor will he ever be persuaded. SECTION III. DISLOCATION FORWARDS, UNDER THE CLAVICLE. Symptoms.—This species of dislocation is much more distinctlymarked than the former. The acromion is more pointed, and thehollow below it, from the depression of the deltoid muscle, is muchmore considerable. The head of the os humeri can be readily anddistinctly felt, and even seen, in thin persons, just below the clavicle;and when the arm is rotated from the elbow, the protuberance may beobserved to be obedient to the motions of the arm. * Surgical Essays, p. 203. UNDER THE CLAVICLE. 335. The coracoid process of the scapula is placed on the outer side ofthe head of the bone, which is covered by the pectoralis major arm is somewhat shortened, and the elbow is thrown more fromthe side, and further back, than in dislocation into the axilla. Theaxis of the limb is much altered, being thrown inward towards themiddle of the clavicle. The pain attending this accident is slighter than when the head ofthe os humeri is thrown into the axilla, because the nerves of theaxillary plexus are less compressed ; but the motions of the joint aremuch more materially affected ; the head of the bone being fixed bythe coracoid process, and neck of the scapula, on the outside, and bythe clavicle above ; whilst the muscles of the scapula, as the supraand infra spinati, and teres minor, being put upon the stretch, confineall its motions inwards and backwards. If, therefore, the arm beattempted to be brought forwards, the head
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Keywords: ., bookcentury1800, bookdecade1840, booksubjectfractur, bookyear1844
